| NPI | 1134328578 |
|---|---|
| Former Name | DIANE MICHELLE ALEXANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ NN72874) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP004652N) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2014-11-13 |