NPI | 1508509076 |
---|---|
Former Name | RIYA DHAMANKAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: PA SP025357) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: PA SP025357) |
Enumeration Date | 2022-04-13 |
Last Update Date | 2022-04-18 |