| NPI | 1225297260 |
|---|---|
| Former Name | DIANA KAY VINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AR PA-342) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR P-T0807) |
| 363A00000X Physician Assistant (Licence: AR PA-342) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2020-06-09 |