NPI | 1174762454 |
---|---|
Former Name | DEBORAH JANE KUIPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL PA9102145) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9102145) |
Enumeration Date | 2009-02-11 |
Last Update Date | 2021-05-14 |