| NPI | 1669675856 |
|---|---|
| Former Name | DEBORAH WOLFGANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: FL 9249436) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2010-11-12 |