| NPI | 1255678967 |
|---|---|
| Former Name | MARIAM SULTAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 736856) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 736856) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2019-12-03 |