| NPI | 1952780470 |
|---|---|
| Former Name | SAFIYA IMTIYAZ MOMIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127524) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX 744210) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2021-11-08 |