| NPI | 1215117593 |
|---|---|
| Other Name | PONTRESS DENISE CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX A1007111) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 465762) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2020-09-16 |