| NPI | 1669575874 |
|---|---|
| Former Name | MYRA LUNTOK AGUIRRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A104621) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO T2005018390) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2012-07-02 |