| NPI | 1255772307 |
|---|---|
| Former Name | JENNIFER VARGHESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 315296) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 52266) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2024-07-17 |