| NPI | 1245566181 |
|---|---|
| Former Name | DIANNE ELIZABETH WATSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.163171) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 5006) |
| 207Q00000X Family Medicine (Licence: KY 03569) | |
| 207Q00000X Family Medicine (Licence: AK 169535) | |
| 207QS0010X Family Medicine, Sports Medicine (Licence: OK 5006) | |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2023-04-26 |