NPI | 1083912737 |
---|---|
Former Name | DENYSE DENYLLE GUTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704249393) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704249393) |
Enumeration Date | 2011-03-04 |
Last Update Date | 2012-12-13 |