| NPI | 1821532912 |
|---|---|
| Former Name | DEBRA PHYLLIS RAFFO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: PA SP01729) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NJ AG1016144) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2024-04-05 |