NPI | 1063931137 |
---|---|
Former Name | LAURA DIANE DIRIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 353220-01) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71007473A) |
363LF0000X Nurse Practitioner, Family (Licence: ME 231458) | |
Enumeration Date | 2017-09-11 |
Last Update Date | 2025-01-29 |