| NPI | 1811922396 |
|---|---|
| Former Name | JILL FRANCES DIEDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO 5048) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 163928) |
| 363LF0000X Nurse Practitioner Family (Licence: CO 5048) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-03-24 |