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 |