| NPI | 1841209335 |
|---|---|
| Former Name | LISA K DENNISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400334-1) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F4003341) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2014-03-06 |