| NPI | 1588689541 |
|---|---|
| Former Name | DIANA ALICIA MEDEROS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 109302) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 109302) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-11-02 |