| NPI | 1477016103 |
|---|---|
| Former Name | DENA ANN KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 25654) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 25654) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-11-13 |