| NPI | 1225685191 |
|---|---|
| Former Name | DEBORAH JEAN LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 024930) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.024930) |
| Enumeration Date | 2019-08-24 |
| Last Update Date | 2022-05-19 |