| NPI | 1841028511 |
|---|---|
| Former Name | NISHA THANKACHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY F350590) |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-24 |