| NPI | 1336156967 |
|---|---|
| Former Name | DEBRA J HALLORAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 21504712NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 2430) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2016-09-24 |