| NPI | 1558817767 |
|---|---|
| Former Name | SHIVANI A PATEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRNCNP019440) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.019440) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2019-01-04 |