| NPI | 1962024323 |
|---|---|
| Former Name | IBIPO MUINAT OTAIKU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 104069) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2023027653) |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2025-07-30 |