| NPI | 1477007052 |
|---|---|
| Former Name | DIANE WEBSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71006635A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28097323A) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-10-21 |