| NPI | 1659660991 |
|---|---|
| Former Name | ROSHANAK MANSOURI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P3198) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10030828) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2017-03-27 |