| NPI | 1568709731 |
|---|---|
| Former Name | PRANVERA FASLLIAJ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11018086) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 93364) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2022-07-22 |