Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156F00000X | Technician/Technologist | 013254 |
NPI | 1164003059 |
---|---|
Provider Name | Salima Ahamad |
First Address | Apex, NC 27539-6900 |
Second Address | Apex, NC 27539-6900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2021 |
Last Update Date | 21/04/2021 |