| NPI | 1053725333 |
|---|---|
| Former Name | DEEPA KULATHINKAL SASIKUMAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125788) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 70366) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2023-08-15 |