NPI | 1023655842 |
---|---|
Former Name | RENY SUSAN KURIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001320) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0001320) |
163W00000X Registered Nurse (Licence: DE L1-0033295) | |
Enumeration Date | 2019-12-01 |
Last Update Date | 2024-11-12 |