| NPI | 1730382854 |
|---|---|
| Former Name | DEBORAH JANINE MISSAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD037735) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 263043) |
| 207Q00000X Family Medicine (Licence: MA 231561) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2012-05-17 |