| 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 |