| NPI | 1336634807 |
|---|---|
| Former Name | SHEENA JOSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: NJ 26NJ00760800) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: TX AP142747) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2024-06-12 |