| NPI | 1851564033 |
|---|---|
| Former Name | HODA TAVALALI WEISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2011009932) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2017-10-26 |