NPI | 1497357669 |
---|---|
Former Name | SHERRY ANNA VARGHESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012690) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 1204713) |
Enumeration Date | 2020-11-12 |
Last Update Date | 2024-07-24 |