NPI | 1720313083 |
---|---|
Former Name | DEBORAH ANN MAUPIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9293437) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 759826) |
Enumeration Date | 2009-10-05 |
Last Update Date | 2009-10-05 |