Individual
MBWIDIFFU A DIBAL
Active
Individual
MBWIDIFFU A DIBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0000757
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200141998
—
DE
Enumeration date
10/22/2014
Last updated
05/08/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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