NPI | 1033400783 |
---|---|
Former Name | SAMIRA ALI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD462666) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301104689) |
Enumeration Date | 2011-04-29 |
Last Update Date | 2018-03-17 |