| NPI | 1528354115 |
|---|---|
| Former Name | JAMIE LEA DIAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: DC MD048410) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101254812) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2024-05-06 |