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 |