| NPI | 1922876309 |
|---|---|
| Former Name | SAFIA KHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 209.029049) |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |