NPI | 1497015788 |
---|---|
Former Name | SANA KHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0116024366) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA09849700) |
207QG0300X Family Medicine, Geriatric Medicine (Licence: NJ 25MA09849700) | |
Enumeration Date | 2012-05-21 |
Last Update Date | 2024-04-09 |