NPI | 1699747097 |
---|---|
Former Name | DIANA L BARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 3458) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R134270-9) |
363LF0000X Nurse Practitioner, Family (Licence: MN 3458) | |
Enumeration Date | 2006-02-02 |
Last Update Date | 2020-08-10 |