NPI | 1003238817 |
---|---|
Former Name | LISSETTE MARIA JIMENEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA09531800) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09531800) |
Enumeration Date | 2014-01-13 |
Last Update Date | 2022-02-15 |