| NPI | 1841693611 |
|---|---|
| Former Name | SELVI KUPPUSWAMY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9485700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI RN46018) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9485700) | |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2020-05-19 |