| NPI | 1073536876 |
|---|---|
| Former Name | DENISE C EKSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 876) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 0050012711) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2013-11-21 |