NPI | 1033534151 |
---|---|
Former Name | DIANA L PEELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 18807) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 18807) |
Enumeration Date | 2014-02-26 |
Last Update Date | 2020-10-08 |