| NPI | 1710667605 |
|---|---|
| Other Name | NKEMDILIM KELLY DIAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 10643) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2462747) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-11-07 |