| NPI | 1578176491 |
|---|---|
| Former Name | DIANA FAYE SUNSERI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: PA RN606775) |
| Enumeration Date | 2020-08-29 |
| Last Update Date | 2020-08-29 |