NPI | 1023160447 |
---|---|
Former Name | DENISE L SPEICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 110405) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 43919) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2021-12-23 |