NPI | 1346803343 |
---|---|
Former Name | KATRINA JEAN DENNY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0017145939) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024177513) |
Enumeration Date | 2019-04-16 |
Last Update Date | 2023-07-06 |