NPI | 1154578243 |
---|---|
Former Name | AYESHA SULTANA ZAMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P4067) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 5995772-1205) |
207Q00000X Family Medicine (Licence: UT 5995772-8905) | |
Enumeration Date | 2008-08-20 |
Last Update Date | 2023-01-03 |