NPI | 1922197151 |
---|---|
Former Name | ANNISSA F JABARIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301075812) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301075812) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2020-10-20 |