NPI | 1861844177 |
---|---|
Former Name | MARDIA GOBENA YOUB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 75309) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 313497) |
Enumeration Date | 2016-07-11 |
Last Update Date | 2023-11-02 |