NPI | 1841798816 |
---|---|
Former Name | DIANE ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11019578) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APRN002854) |
Enumeration Date | 2018-01-25 |
Last Update Date | 2022-10-24 |