Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 16699 | ND |
NPI | 1174928162 |
---|---|
Provider Name | Nisha Agarwal |
First Address | Sioux Falls, SD 57117-5074 |
Second Address | Fargo, ND 58104-7927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2014 |
Last Update Date | 24/11/2020 |