NPI | 1831551233 |
---|---|
Former Name | JULIE VARGHESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP128886) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 730923) |
163W00000X Registered Nurse (Licence: NY 578673) | |
Enumeration Date | 2016-03-24 |
Last Update Date | 2023-05-31 |