| NPI | 1295099125 |
|---|---|
| Other Name | IMANI R ANWISYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036139294) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2012020598) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2016-02-04 |