NPI | 1114971488 |
---|---|
Former Name | DENISE M LEMKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 1659) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 1659033) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2013-12-11 |