NPI | 1285085654 |
---|---|
Former Name | SOHA A. KHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.013840) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019018A) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2019-06-07 |