| NPI | 1568854537 |
|---|---|
| Former Name | MARYKUTTY THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120772) |
| Additional Taxonomies | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: TX 699647) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2019-01-21 |