| NPI | 1619241312 |
|---|---|
| Former Name | DIANE E TRIPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ME CNP121003) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2013-02-20 |