NPI | 1417197633 |
---|---|
Professional Name | DIANNE LYNNE SECRETO-MAZZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025681) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9284326) |
Enumeration Date | 2009-02-27 |
Last Update Date | 2024-01-23 |