NPI | 1811943079 |
---|---|
Former Name | NANCY AZIZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 721) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 000721) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2014-03-10 |