| NPI | 1992741573 |
|---|---|
| Former Name | DEBRA LEE KINGSBOROUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TN 28802) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-07-08 |