Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 528221 | CA |
NPI | 1003927385 |
---|---|
Provider Name | Miss Christine Eunice Kurunathan |
First Address | Loma Linda, CA 92354-6528 |
Second Address | Loma Linda, CA 92354-6528 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |