| NPI | 1164885901 |
|---|---|
| Former Name | MARIAM NEMATALLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 86461) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 00000) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2020-09-22 |