| NPI | 1154843936 |
|---|---|
| Former Name | PAOLA ANDREA DIAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20955) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60767021) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2021-10-18 |