NPI | 1821292038 |
---|---|
Former Name | DIANA LYNN HARVEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 12256) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000012256) |
Enumeration Date | 2007-06-12 |
Last Update Date | 2016-11-15 |