| NPI | 1235121567 |
|---|---|
| Former Name | DEBORAH YESOWITCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2992542) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ARNP2992542) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2018-03-17 |