| NPI | 1568018158 |
|---|---|
| Former Name | MOKSHA BODE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 83235) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 147969) |
| Enumeration Date | 2019-08-10 |
| Last Update Date | 2025-08-06 |