| NPI | 1912612169 |
|---|---|
| Other Name | DIANA ELIZABETH LIEDTKA-HOLMQUIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-242748) |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2024-12-30 |