| NPI | 1508455635 |
|---|---|
| Former Name | ALI ADELA PAYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1112785) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11009996) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2024007851) | |
| 363L00000X Nurse Practitioner (Licence: NC 5019397) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 234371) | |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2025-01-03 |