| NPI | 1265233720 |
|---|---|
| Former Name | SARA MATHEW MANOJ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2025008397) |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-06-13 |