| 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 |