| NPI | 1790066850 |
|---|---|
| Professional Name | JEANNETTE ANGELA DIANA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 78905-2) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |