| NPI | 1629401443 |
|---|---|
| Other Name | SHADIATU O MOUSTAPHA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 338271) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 621087) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2016-01-13 |