NPI | 1891356721 |
---|---|
Former Name | MARYAM SYED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019748) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041407865) |
Enumeration Date | 2019-06-21 |
Last Update Date | 2024-12-05 |