NPI | 1588840227 |
---|---|
Former Name | DIANE E. WATTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: OK 194-12129) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0025941) |
Enumeration Date | 2008-01-11 |
Last Update Date | 2008-05-18 |