| NPI | 1497350920 |
|---|---|
| Former Name | JENSINE ILLIKATTIL TOMI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN252456) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN252456) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2021-03-08 |