| NPI | 1669993259 |
|---|---|
| Former Name | JESSY MEPURATHU PHILIP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001482) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5015335) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3011452) | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2023-08-16 |