| NPI | 1285121707 |
|---|---|
| Former Name | DEANNA DANELLE OLK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29445) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 8373-33) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2022-10-31 |