NPI | 1033238506 |
---|---|
Former Name | DIANNE G PITTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167693) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001211485) |
363LF0000X Nurse Practitioner, Family (Licence: MA 254349) | |
163W00000X Registered Nurse (Licence: VA 254349) | |
Enumeration Date | 2007-03-28 |
Last Update Date | 2015-08-27 |