| NPI | 1982111316 |
|---|---|
| Former Name | SOFIA MIRIAM HUSSAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: GA 59196) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 59196) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |