NPI | 1609320860 |
---|---|
Former Name | PARISA SALEHI-ALLAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01010900) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA Sp016217) |
Enumeration Date | 2016-08-04 |
Last Update Date | 2021-03-25 |