| NPI | 1023874203 |
|---|---|
| Former Name | ANNAMMA JOHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11031595) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9456849) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-03-19 |