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 | 2024-09-20 |