| 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 |