NPI | 1275911315 |
---|---|
Former Name | AMEERAH SHABAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A151302) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-05-08 |
Last Update Date | 2023-01-17 |