| NPI | 1114495553 |
|---|---|
| Former Name | DENISE NISPEROS PUNO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010051) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA NP95010051) |
| Enumeration Date | 2018-11-03 |
| Last Update Date | 2019-01-08 |