NPI | 1063151900 |
---|---|
Former Name | DEEPA DEVASY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1061924) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 718742) |
Enumeration Date | 2022-05-31 |
Last Update Date | 2023-05-17 |