| NPI | 1619033255 |
|---|---|
| Former Name | DEBORAH AILEEN DURBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA HAP68) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA RDH15429) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2013-06-20 |