| NPI | 1245687862 |
|---|---|
| Former Name | IRENE VARGHESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX u6796) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML60661168) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2024-03-13 |