| NPI | 1386030070 |
|---|---|
| Former Name | KHUSHALI SHAH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F0315221) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX F0315221) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2020-04-28 |