| NPI | 1144642539 |
|---|---|
| Former Name | DENISE R DEEDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022035340) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011322) |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2023-01-31 |