| NPI | 1932185246 |
|---|---|
| Former Name | DEBRA JOY EBERSOLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP8684) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 411613) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2018-05-11 |