NPI | 1245598010 |
---|---|
Former Name | DENISE DRAKE LAWLESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP4464) |
Enumeration Date | 2012-04-30 |
Last Update Date | 2019-06-16 |