| NPI | 1053666974 |
|---|---|
| Former Name | SIPOURA ZADMEHR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 51417) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: NY 014798) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2015-04-03 |