| NPI | 1851309645 |
|---|---|
| Former Name | DIANE DUDAS SHEEHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209-001176) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-001176) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209-001176) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2014-03-18 |