| NPI | 1740968866 |
|---|---|
| Former Name | MARY JO DENNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71014515A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 2022095558) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2025-05-23 |