NPI | 1427323583 |
---|---|
Former Name | CAROLYN DIAZ SY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60483506) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60483506) |
Enumeration Date | 2012-03-21 |
Last Update Date | 2018-06-26 |