NPI | 1720335490 |
---|---|
Former Name | DEBORAH MOREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704246770) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704246770) |
Enumeration Date | 2012-08-13 |
Last Update Date | 2024-06-04 |