NPI | 1942377742 |
---|---|
Former Name | SHAHLA MOUSARI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD43311) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE 1860) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2016-04-04 |