NPI | 1063763472 |
---|---|
Former Name | DEBORAH KAY PREKKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201600200NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60313249) |
Enumeration Date | 2012-09-25 |
Last Update Date | 2016-07-06 |