| NPI | 1992347645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA L. COLLINS Director 571-263-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR1000X Registered Nurse, Reproductive Endocrinology/Infertility |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |