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 |