| NPI | 1497353999 |
|---|---|
| Former Name | KAUSHAR M KHATUMBRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 9333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT F10200328) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2021-03-08 |