NPI | 1558882522 |
---|---|
Former Name | MILIMOLE SUKUMARAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341614) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 572244) |
Enumeration Date | 2017-06-29 |
Last Update Date | 2018-11-07 |