| NPI | 1730460015 |
|---|---|
| Former Name | JASMINE FAYEGHI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2022-07-21 |