NPI | 1730343633 |
---|---|
Former Name | BITA KHATIBI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60386455) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A117074) |
207Q00000X Family Medicine (Licence: OH 35-099620) | |
207Q00000X Family Medicine (Licence: NM MD2010-0752) | |
Enumeration Date | 2008-07-10 |
Last Update Date | 2019-04-03 |