NPI | 1396142444 |
---|---|
Former Name | BINU JOHNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00505900) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00505900) |
Enumeration Date | 2014-12-03 |
Last Update Date | 2016-05-13 |