NPI | 1760422703 |
---|---|
Former Name | DIANE EVELYN KING-MAIDEN UNGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP008746) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2024-04-16 |