| NPI | 1780535476 |
|---|---|
| Former Name | TEESHA CHACKO SHERIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F357694) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1217922) |
| Enumeration Date | 2026-02-07 |
| Last Update Date | 2026-03-18 |