| NPI | 1922261353 |
|---|---|
| Former Name | JENSY PULIKAMALIL JACOB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: RI 13939) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 246929) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2012-07-13 |