| NPI | 1457507238 |
|---|---|
| Former Name | MITRA LYNN SHAH-HOSSEINI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD038481) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 150780) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2010-06-24 |