| NPI | 1891167599 |
|---|---|
| Former Name | JITTY ELIZABETH CHANDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11018592) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704289538) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11018592) | |
| 363L00000X Nurse Practitioner (Licence: TX 1033414) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704289538) | |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2024-10-01 |