| NPI | 1679849111 |
|---|---|
| Former Name | JESSIKA DIAZ LARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 70495) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A135774) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2019-06-07 |