| NPI | 1790394195 |
|---|---|
| Former Name | FARZANA AJANI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-152813) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-152813) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |