| NPI | 1841778099 |
|---|---|
| Former Name | DIANA E JAHR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 8673) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 8673) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2022-12-14 |