| NPI | 1669036034 |
|---|---|
| Former Name | DEBORAH LYNN GARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ CNP228212) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN189186) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2022-12-22 |