| NPI | 1497724835 |
|---|---|
| Former Name | DENISE MARIE BAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704169638) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 1162) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704169638) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2011-09-15 |