| NPI | 1821511734 |
|---|---|
| Former Name | MATIN CHANGIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024174812) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024174812) |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2024-10-12 |