NPI | 1083653869 |
---|---|
Former Name | DIANE PAIGE KRASNOPERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN280201) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381443) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP 9246874) | |
Enumeration Date | 2006-06-06 |
Last Update Date | 2024-07-19 |