| NPI | 1033589098 |
|---|---|
| Former Name | NUSRA MUKKUVANKADAVATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008302) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5008302) |
| Enumeration Date | 2015-10-03 |
| Last Update Date | 2022-11-30 |