NPI | 1740461458 |
---|---|
Former Name | DIANE BASKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP30005343) |
Enumeration Date | 2007-11-21 |
Last Update Date | 2024-03-18 |