Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156F00000X | Technician/Technologist |
NPI | 1003588690 |
---|---|
Provider Name | Mrs. Amna H Elrifaai I |
First Address | Dearborn, MI 48124-2066 |
Second Address | Dearborn, MI 48126-2848 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2021 |
Last Update Date | 01/10/2021 |