NPI | 1275066409 |
---|---|
Former Name | DELPHIA VARADARAJAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101266632) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101266632) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-05 |
Last Update Date | 2024-01-19 |