| NPI | 1194353730 |
|---|---|
| Former Name | DUSTY RAE DENNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP145659) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP145659) |
| 363L00000X Nurse Practitioner (Licence: TX AP145659) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |