| NPI | 1689181240 |
|---|---|
| Former Name | MINI KOTTARATHIL SAMUEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 469801) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |