NPI | 1083204440 |
---|---|
Former Name | DIANA SABINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1016755) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1016755) |
Enumeration Date | 2021-01-20 |
Last Update Date | 2022-02-17 |