NPI | 1801152764 |
---|---|
Former Name | MARGARITA DIAZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: UT 8780972-1205) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-04-04 |
Last Update Date | 2015-08-17 |