| NPI | 1245332865 |
|---|---|
| Former Name | DENISE E. MCKENNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 2071) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 2071) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2021-05-18 |