NPI | 1295802957 |
---|---|
Former Name | DEBORAH M MOUDARRES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP5484) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 533841) |
363LF0000X Nurse Practitioner, Family (Licence: AZ RN184531) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400881) | |
Enumeration Date | 2006-11-29 |
Last Update Date | 2022-09-12 |