| NPI | 1720690399 |
|---|---|
| Former Name | NELLI FARIDOVNA SAFFOLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11009505) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F10191147) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2024-03-14 |