| NPI | 1073094322 |
|---|---|
| Former Name | ASHA MATHEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP137124) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137124) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2023-02-10 |