| 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 |