Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 2090646 | TX |
NPI | 1023588282 |
---|---|
Provider Name | Nidhi Sharma |
First Address | Waco, TX 76712-8469 |
Second Address | Waco, TX 76712-8469 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2018 |
Last Update Date | 30/11/2018 |