NPI | 1255627659 |
---|---|
Former Name | NETRA PRASAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95000575) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382201) |
Enumeration Date | 2011-06-23 |
Last Update Date | 2014-06-26 |