| NPI | 1821378944 |
|---|---|
| Former Name | JENNIFER MARIE DIAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA101) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
| Enumeration Date | 2011-08-20 |
| Last Update Date | 2016-05-12 |