| NPI | 1245773670 |
|---|---|
| Other Name | LUPITA DIAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95004602) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: CA 4498) |
| Enumeration Date | 2016-12-03 |
| Last Update Date | 2019-08-09 |