NPI | 1861927774 |
---|---|
Former Name | SHIRIN FARAH BIBAYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN213616) |
Enumeration Date | 2017-04-28 |
Last Update Date | 2023-09-18 |