| NPI | 1629052030 |
|---|---|
| Former Name | DENISE J MULLANEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2013012825) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 172414) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2013012825) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2014-10-06 |