| NPI | 1245361278 |
|---|---|
| Former Name | DENISE MARIE ROSKOVENSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30007526) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |