| NPI | 1275833824 |
|---|---|
| Former Name | MARYIUM MUHAMMAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 014032) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA oa002560) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2016-07-06 |