| NPI | 1952959710 |
|---|---|
| Former Name | PEGAH NEJAD MOHTASHEMI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |