| NPI | 1871962589 |
|---|---|
| Other Name | DIAN INDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201801068NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 2015005058) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2020-09-28 |