NPI | 1831593326 |
---|---|
Former Name | AYESHA TASAWAR HUSSAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001202) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 236107) |
Enumeration Date | 2014-10-14 |
Last Update Date | 2021-09-23 |