NPI | 1316956493 |
---|---|
Former Name | ELIZABETH DIAZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 04-31191) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 31191f) |
207V00000X Obstetrics & Gynecology (Licence: NE 30701) | |
207V00000X Obstetrics & Gynecology (Licence: IA MD45221) | |
Enumeration Date | 2006-08-06 |
Last Update Date | 2022-05-18 |