NPI | 1780033555 |
---|---|
Former Name | SAFA BALEEGH MAKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 77945) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301117044) |
207R00000X Internal Medicine (Licence: WI 22526-875) | |
Enumeration Date | 2016-06-12 |
Last Update Date | 2023-06-21 |