NPI | 1306211883 |
---|---|
Former Name | DENISE DELUCA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WV 63349) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WV 63349) |
363LA2200X Nurse Practitioner, Adult Health (Licence: WV 63349) | |
Enumeration Date | 2015-12-09 |
Last Update Date | 2017-01-04 |