NPI | 1417965039 |
---|---|
Former Name | SYLVIA DIAZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-000623) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209-000623) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2011-11-01 |