NPI | 1285989285 |
---|---|
Former Name | DENA LEIGH NAVOICHICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5128) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R 200184-5) |
Enumeration Date | 2012-07-17 |
Last Update Date | 2024-07-15 |