| NPI | 1366151615 |
|---|---|
| Former Name | LINDAMULAGE SUPUN DINITHI CHANDR DEVAADITHIYA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 9814) |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2023-03-20 |