| 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 |