NPI | 1891185906 |
---|---|
Former Name | SHALIZA MOHAMMED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN216869) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN216869) |
Enumeration Date | 2015-01-27 |
Last Update Date | 2021-08-18 |