| NPI | 1841501970 |
|---|---|
| Former Name | DIANA MARIE HECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME149259) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 45311) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2021-05-26 |