| NPI | 1417941360 |
|---|---|
| Former Name | DEBORAH ONDERSMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 35505) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101011658) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2018-01-26 |