| NPI | 1457323875 |
|---|---|
| Other Name | TERESA KANJUPARAMBAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE C50000490) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0003050) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2008-02-27 |