| NPI | 1366712366 |
|---|---|
| Former Name | DEBORAH LORRAINE COBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NH 0429) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |