| NPI | 1184926289 |
|---|---|
| Former Name | GISEL DIAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME127115) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA09277000) |
| 207P00000X Emergency Medicine (Licence: NY 259386) | |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2021-07-29 |