| NPI | 1912197112 |
|---|---|
| Former Name | COURTNEY A DEMETER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0024170740) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209007822) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2014-04-30 |