NPI | 1144652751 |
---|---|
Former Name | DIANE PATRICIA SORENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX 808785) |
Enumeration Date | 2013-08-06 |
Last Update Date | 2021-09-29 |