| NPI | 1255540928 | 
|---|---|
| Former Name | ELSA B VARUGHESE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101240422)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116018178)  | 
| 2084N0600X  (Licence: VA 0101240422)  | |
| Enumeration Date | 2007-05-21 | 
| Last Update Date | 2007-09-10 |