NPI | 1770021453 |
---|---|
Former Name | TARISHA THAPAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95005100) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005100) |
Enumeration Date | 2017-02-02 |
Last Update Date | 2020-06-29 |