| NPI | 1508110347 |
|---|---|
| Professional Name | LATHA S PANICKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.009961) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |