| NPI | 1629399563 |
|---|---|
| Former Name | DIANA SUE MEDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A13947) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 0052093) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2021-03-29 |