NPI | 1366096745 |
---|---|
Former Name | VINCY MARIA KIZHAKKEPARAMBIL JOSEPH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F431550-01) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F431550-01) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NJ F431550-01) | |
Enumeration Date | 2019-07-24 |
Last Update Date | 2019-07-24 |