NPI | 1619165008 |
---|---|
Other Name | DIANE LYNNETTE GOLKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2706) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ ap2709) |
Enumeration Date | 2007-10-10 |
Last Update Date | 2012-09-12 |