| NPI | 1164410353 |
|---|---|
| Former Name | DEBORAH LOU WINTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2009010253) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 3619) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2019-07-29 |