| NPI | 1366692212 |
|---|---|
| Former Name | DENISE ANN ROUBA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP3042) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP-03604) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401029-1) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2024-01-09 |