| NPI | 1114350774 |
|---|---|
| Former Name | NISHA PETER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 841763) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 841763) |
| Enumeration Date | 2013-08-17 |
| Last Update Date | 2014-01-29 |