NPI | 1821312745 |
---|---|
Former Name | DENISE MALIA LOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11000871) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: HI APRN-1263) |
Enumeration Date | 2010-03-22 |
Last Update Date | 2023-03-23 |