| NPI | 1154523884 |
|---|---|
| Former Name | JENNY ELIZABETH DIAZ PARDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: CO CDRH.0053477) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO CDRH.0053477) |
| 207L00000X Anesthesiology (Licence: MS 26346) | |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: FL ME109956) | |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: OH 35133712) | |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: CO DR.0053477) | |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: MS 26345) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2022-06-07 |