| NPI | 1588185888 |
|---|---|
| Former Name | DIANA MUGGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.016082) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041290795) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2023-01-13 |