NPI | 1710411012 |
---|---|
Former Name | DIANA M CVENGROS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.201738) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9351724) |
Enumeration Date | 2017-04-13 |
Last Update Date | 2019-12-06 |