NPI | 1326448093 |
---|---|
Other Name | MARY LOU DENNIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN9303547) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA GAA-NP000710) |
Enumeration Date | 2014-08-29 |
Last Update Date | 2022-06-25 |