NPI | 1568852358 |
---|---|
Other Name | HALLIE KATRINA DENNISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010355) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP014713) |
363L00000X Nurse Practitioner (Licence: DE LP-0000133) | |
Enumeration Date | 2015-01-31 |
Last Update Date | 2023-03-24 |