NPI | 1750893400 |
---|---|
Former Name | DIANA C FLORES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018264) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN568561) |
Enumeration Date | 2017-11-02 |
Last Update Date | 2019-02-19 |