| NPI | 1922085638 |
|---|---|
| Former Name | ELHAM BOSAK-BARANI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 20783) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 20783) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2013-08-27 |