| NPI | 1457336109 |
|---|---|
| Former Name | DINICE LEANA JIMENEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MT 86404) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2026-06-26 |