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 |