| NPI | 1588700702 |
|---|---|
| Former Name | DEBRA C CHRISTIANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R101756-8) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2017-04-12 |