| NPI | 1043847171 |
|---|---|
| Former Name | DIANE ELIZABETH INOCENCIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95001364) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2023-04-12 |