NPI | 1902469760 |
---|---|
Former Name | ANDREA VERGHESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD490616) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT218475) |
Enumeration Date | 2019-04-17 |
Last Update Date | 2025-08-15 |