NPI | 1558817767 |
---|---|
Former Name | SHIVANI A PATEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209031243) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRNCNP019440) |
Enumeration Date | 2016-08-28 |
Last Update Date | 2025-06-19 |