| NPI | 1134385164 |
|---|---|
| Former Name | FRIDA RINETH PENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60242838) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA BC60249837) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2021-09-29 |