| 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 |