| NPI | 1023353877 |
|---|---|
| Former Name | MINIMOL ANTONY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.335478) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010069) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |