NPI | 1396132411 |
---|---|
Former Name | ANSU VARUGHESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15067500) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 338369) |
Enumeration Date | 2015-04-16 |
Last Update Date | 2024-05-16 |