| NPI | 1508979097 |
|---|---|
| Former Name | FATISHA TAWANHA ENAHORA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D68201) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 010124449) |
| 207P00000X Emergency Medicine (Licence: GA 054612) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2022-07-21 |