| NPI | 1114793775 |
|---|---|
| Former Name | TALAR TAKESSIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704339362NSA230JE) |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2025-07-02 |