| NPI | 1699665125 |
|---|---|
| Former Name | DIANA MARIE PAULSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95035926) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95035936) |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-09-24 |