NPI | 1902293889 |
---|---|
Former Name | KATHERINE ARMINE DIAZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME149510) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-04-18 |
Last Update Date | 2024-06-19 |