| NPI | 1417183484 |
|---|---|
| Former Name | DEBORAH JO GULBRANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2013023187) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 4193) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2017-09-19 |