| NPI | 1295241578 |
|---|---|
| Former Name | FARAHNAZ SHAUKAT ALI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2019011554) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2019011554) |
| 363L00000X Nurse Practitioner (Licence: KS 53-77983-071) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-77983-071) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-77983-071) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2019011554) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77983-071) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 53-77983-071) | |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2023-08-22 |