NPI | 1518558493 |
---|---|
Professional Name | JOZELLE HOPE DIAZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347188) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 626615) |
261QP2300X Clinic/Center, Primary Care (Licence: NY 347188) | |
Enumeration Date | 2021-02-02 |
Last Update Date | 2022-03-07 |