| NPI | 1902469760 |
|---|---|
| Former Name | ANDREA VERGHESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT218475) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-06-10 |