| NPI | 1831718972 |
|---|---|
| Former Name | DEEPA GOPALAKRISHNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R176640) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0001421) |
| 363LF0000X Nurse Practitioner Family (Licence: DE LG-0001421) | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2024-04-10 |