| NPI | 1295244283 |
|---|---|
| Former Name | DIANA ELIZABETH FLORES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601008410) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2020-06-03 |