| 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 |