| NPI | 1245397348 |
|---|---|
| Former Name | SAFAA SHAKIK REZUALLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 028538) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 028583) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2016-01-27 |