| NPI | 1669672937 |
|---|---|
| Former Name | BASIMAH DHAKIRAH MUSADDIQ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WI 308212-031) |
| Additional Taxonomies | 163WH0500X Registered Nurse Hemodialysis (Licence: WI 226302) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2019-03-26 |