| NPI | 1083855860 |
|---|---|
| Former Name | DEBRALEE DENISE GORMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 219637) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 171941) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2019-09-10 |