| NPI | 1528428273 |
|---|---|
| Former Name | DEBORAH SUE MACUICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010448) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.18846-NP) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2020-09-16 |