NPI | 1669677035 |
---|---|
Former Name | MAWIHA JOHNSON SHABAZZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DC RN1005859) |
Enumeration Date | 2007-06-18 |
Last Update Date | 2013-07-19 |