| NPI | 1457697864 |
|---|---|
| Former Name | CHRISTINA M. DIETMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012562) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP012562) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP012562) | |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2022-10-13 |