| NPI | 1770177172 |
|---|---|
| Former Name | FARZANEH MOHAMMADI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022654) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209.022654) |
| 163W00000X Registered Nurse (Licence: IL 041.438415) | |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2024-11-07 |