NPI | 1801384649 |
---|---|
Former Name | CHERYL DIEHL, MCCLURE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 268792) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95004715) |
Enumeration Date | 2018-04-26 |
Last Update Date | 2023-02-12 |