| NPI | 1841208055 |
|---|---|
| Former Name | DENISE ELAINE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0000986-C-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1057492) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2019-12-16 |