| NPI | 1720102239 |
|---|---|
| Former Name | DIANE STARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR03997100) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00190100) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2025-09-11 |