| NPI | 1477975860 |
|---|---|
| Former Name | HIVA SHAFA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002980) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA RN2289237) |
| 163W00000X Registered Nurse (Licence: CA 95070213) | |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2015-08-27 |