| NPI | 1336631886 |
|---|---|
| Former Name | ANISHA CHAKKACHERIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R235759) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 862730) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2019-03-14 |