| NPI | 1215025309 |
|---|---|
| Former Name | DEBORAH LYNNE GARRELTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IA 34569) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IL 036-100370) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2022-06-03 |