| NPI | 1114985215 |
|---|---|
| Former Name | DEBORAH L SACKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TX 753879) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2578982) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2009-11-17 |