| NPI | 1700230919 |
|---|---|
| Former Name | RENEE TEHRANI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB10609100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT016990) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2019-09-12 |