| NPI | 1366415770 |
|---|---|
| Former Name | DESERAE J GOBLE SADEGHI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 5010200-1205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A93148) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2021-08-31 |