| NPI | 1962956516 |
|---|---|
| Former Name | DENISE L BRAGG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21721) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173796) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2021-04-20 |