NPI | 1467442608 |
---|---|
Former Name | DEBORAH BRILL GRAUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 56835) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 56835) |
364SW0102X Clinical Nurse Specialist, Women's Health (Licence: NM R37166) | |
Enumeration Date | 2005-10-27 |
Last Update Date | 2015-03-28 |