NPI | 1881070431 |
---|---|
Former Name | SIMA SHAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011077) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.363786) |
363L00000X Nurse Practitioner (Licence: IL 209.012648) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.012648) | |
Enumeration Date | 2015-08-05 |
Last Update Date | 2024-04-29 |