NPI | 1053419853 |
---|---|
Former Name | RENEE M DIEHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: PA MW010077) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN559129) |
176B00000X Midwife (Licence: PA MW010077) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2021-04-14 |