| NPI | 1720588866 |
|---|---|
| Former Name | DEBORAH WALLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9384333) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9384333) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2023-02-06 |