| NPI | 1891806725 |
|---|---|
| Former Name | DEBRA ANNE GROTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 010667) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 10667) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-07-06 |