NPI | 1841560877 |
---|---|
Former Name | DIANA MARIE RICHTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 76036) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2011039955) |
Enumeration Date | 2012-01-06 |
Last Update Date | 2022-09-26 |