| NPI | 1376591883 |
|---|---|
| Former Name | SELENE E FARAVARDEH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: CA 718909) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9180156) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2024-10-09 |