NPI | 1790757623 |
---|---|
Former Name | DEBRA JEANNE WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 15657) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 657712) |
163W00000X Registered Nurse (Licence: TN 136486) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 15657) | |
Enumeration Date | 2006-02-03 |
Last Update Date | 2013-07-16 |