| NPI | 1598076085 |
|---|---|
| Former Name | MARYAM DASTRANGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 052873) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2010019188) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2014-07-07 |