NPI | 1548606957 |
---|---|
Former Name | NORA L ODISHO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 007221) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R2268) |
208000000X Pediatrics (Licence: AZ R2268) | |
Enumeration Date | 2013-05-13 |
Last Update Date | 2018-07-26 |