NPI | 1033110515 |
---|---|
Former Name | DENISE R. DENNLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS010074L) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 1812) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2015-09-16 |