| NPI | 1568617017 |
|---|---|
| Former Name | DEBORAH LEA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P8391) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 47245) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2014-01-08 |