| NPI | 1033215546 |
|---|---|
| Former Name | MYRDALIS DIAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202D00000X (Licence: FL ME96703) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME96703) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: FL ME96703) | |
| 208VP0000X Pain Medicine Pain Medicine (Licence: FL ME96703) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2023-12-18 |