| NPI | 1235405820 |
|---|---|
| Former Name | SHIVANI NANDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301101135) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2018-03-16 |