NPI | 1013115757 |
---|---|
Former Name | DIANNA KAY TREOLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G156946) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60585215) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2019-10-30 |