| NPI | 1154883940 |
|---|---|
| Former Name | KAMELIA SHOAEPOUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A180079) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2022-09-30 |