NPI | 1578584256 |
---|---|
Former Name | DIANNA LYNN GILBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN221863) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704160906) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2024-07-17 |