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 |