NPI | 1124084033 |
---|---|
Former Name | PAULA KIM DIEHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP 9348308) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN120829) |
Enumeration Date | 2006-04-21 |
Last Update Date | 2015-11-12 |