| NPI | 1851760789 |
|---|---|
| Former Name | DEBORAH CASELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 4207) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP4207) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2022-01-10 |