| NPI | 1023296159 |
|---|---|
| Former Name | DEBRA ELLEN BECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50. 002262) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA1099) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2011-03-31 |