| NPI | 1265843163 |
|---|---|
| Former Name | HEATHER SUSAN VARUGHESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 137414) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD461011) | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2017-05-24 |