NPI | 1346627312 |
---|---|
Former Name | DIANA PHI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP127931) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP127931) |
Enumeration Date | 2015-04-29 |
Last Update Date | 2019-08-01 |