| NPI | 1982959235 |
|---|---|
| Former Name | ELIZABETH MAHEEN SHOKOUI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101021221) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL1597) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2020-10-21 |