NPI | 1407970429 |
---|---|
Former Name | ANNAMMA KOSHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 809552) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000427) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2012-09-05 |