| NPI | 1679991624 |
|---|---|
| Former Name | DENIESE WOODBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN2886402) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 2886402) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP 2886402) | |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2024-07-24 |