| NPI | 1679816763 |
|---|---|
| Other Name | MA JESUSA SANTOS DIWA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35134907) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A142843) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2022-01-11 |