| NPI | 1225571219 |
|---|---|
| Former Name | JACKIE EL-DARAZI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71015684A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.015153) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2025-01-07 |