| NPI | 1063758001 |
|---|---|
| Former Name | DEBORAH THALER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F337735-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 6139691) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2013-11-23 |