| NPI | 1730313057 |
|---|---|
| Former Name | DIANA LYN FECZER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R 144367-9) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2023-11-08 |