| NPI | 1972966323 |
|---|---|
| Former Name | AIZA TARIQ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME140121) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2020-01-23 |