NPI | 1881868800 |
---|---|
Former Name | YASMIN ISSA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME111615) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MA 239450) |
Enumeration Date | 2008-04-22 |
Last Update Date | 2021-06-08 |