| NPI | 1649378647 |
|---|---|
| Former Name | KATHLEEN A DIEKHOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28150969) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002214) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN311453) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-08-11 |