NPI | 1386063840 |
---|---|
Former Name | SIAMA M AHMAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 005858) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 5858) |
Enumeration Date | 2014-04-14 |
Last Update Date | 2018-10-18 |