| NPI | 1740549757 |
|---|---|
| Former Name | MELISSA ANN DIAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN9296958) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9296958) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 9296958) | |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2020-12-09 |