| NPI | 1316943624 |
|---|---|
| Former Name | DEBORAH LORENE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: PA MD420969) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2012-12-31 |