| NPI | 1235123324 |
|---|---|
| Former Name | AIDA LUNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35038328) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OH 35038328M) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2009-02-27 |