| NPI | 1417629221 |
|---|---|
| Former Name | DIBA SAGHIZADEH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA16260) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: 2021011607) |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2024-08-01 |