| NPI | 1649888439 |
|---|---|
| Former Name | LEENA SAMUEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L8-0010433) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R174486) |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2024-07-23 |