| NPI | 1912718495 |
|---|---|
| Former Name | MINU ELIZABETH JOSE, THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11037152) |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-08-23 |