| NPI | 1447455019 |
|---|---|
| Former Name | ANA L MATOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 43965) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 244507) |
| 207Q00000X Family Medicine (Licence: IL 036.139132) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2025-07-28 |