| NPI | 1164663860 |
|---|---|
| Former Name | TANNAZ EBRAHIMI ADIB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A121761) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME108488) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2018-12-31 |