| NPI | 1568753697 |
|---|---|
| Former Name | LIJA SUNDERLAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000521) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC000852) |
| Enumeration Date | 2011-04-24 |
| Last Update Date | 2011-09-20 |