| NPI | 1902215130 |
|---|---|
| Former Name | DIANE KATHERINE GONSIOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209011636) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209011636) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209011636) | |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2021-05-05 |