| NPI | 1801288873 |
|---|---|
| Former Name | LIJO JOSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127540) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 754211) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2017-10-24 |