NPI | 1114612025 |
---|---|
Former Name | NISHANTHI BURNICE KULENTHIRARAJAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2295823) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2295823) |
Enumeration Date | 2023-04-06 |
Last Update Date | 2024-08-06 |