| NPI | 1144297615 |
|---|---|
| Former Name | DEBRA MICHELE DALLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 090000397N6) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ RN112630) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: AZ AP1219) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60314839) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2016-04-05 |