| NPI | 1144736935 |
|---|---|
| Former Name | DEBORAH LYNN MYNCHENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1003046) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 022380) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OH APRN.CNS.09180) | |
| Enumeration Date | 2017-12-16 |
| Last Update Date | 2021-12-14 |