| NPI | 1316101082 |
|---|---|
| Former Name | DENISE KATHRYN ANTONOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201801073NP-PP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5014649) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN151196) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2024-05-15 |