| NPI | 1487003638 |
|---|---|
| Former Name | SHAIDA VOSSOUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ R75822) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ R75822) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2020-08-13 |