| NPI | 1619049566 |
|---|---|
| Former Name | DEBRA RAE AUGUSTUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP2872) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ RN148592) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2014-02-28 |