| NPI | 1679824924 |
|---|---|
| Former Name | MANISHA GONSALVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC001603) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 17027) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1038868) | |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2023-08-14 |