| NPI | 1043240807 |
|---|---|
| Former Name | DENISE L. HACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3004109) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71001265A) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2021-04-13 |