| NPI | 1356757843 |
|---|---|
| Former Name | DENISE ELIZABETH COSTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11026436) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.16131-NP) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2023-11-07 |