| NPI | 1033824644 |
|---|---|
| Former Name | I'NECIKA DENISE UNDERWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD r232664) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: DC NP200004237) |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-03-10 |