| NPI | 1629278080 |
|---|---|
| Former Name | LISA M DIAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301506051) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 55397) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2024-09-19 |