| NPI | 1437194966 |
|---|---|
| Former Name | DEBRA C SANDERS |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 208084) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NY 208084) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2021-06-02 |