| NPI | 1568417509 |
|---|---|
| Former Name | MIA O KWUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P5690) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A62310) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2013-04-17 |