NPI | 1720517774 |
---|---|
Former Name | LAURA M DENKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017717) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN657246) |
Enumeration Date | 2017-06-05 |
Last Update Date | 2021-01-28 |