| NPI | 1710689872 |
|---|---|
| Former Name | OLIS DENISE FREEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209026915) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041370130) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2024-01-05 |