Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 2018-00999 | NC |
NPI | 1144633462 |
---|---|
Provider Name | Sarah Moustafa Ashraf Moustafa |
First Address | Raleigh, NC 27617-8744 |
Second Address | Raleigh, NC 27617 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2014 |
Last Update Date | 07/05/2021 |