NPI | 1164876439 |
---|---|
Former Name | TAHEREH EMAMI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 58435) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101266087) |
207Q00000X Family Medicine (Licence: DC MD047334) | |
Enumeration Date | 2016-04-22 |
Last Update Date | 2022-05-18 |