NPI | 1154523884 |
---|---|
Former Name | JENNY ELIZABETH DIAZ PARDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MN 64822) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CO CDRH.0053477) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2024-12-20 |