| NPI | 1184260721 |
|---|---|
| Former Name | KAMINI SRENEVASAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9732) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 9732) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2024-11-05 |