| NPI | 1639437213 |
|---|---|
| Former Name | AYANNA AMLAK KHALSA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME123016) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2015-08-03 |