NPI | 1982833646 |
---|---|
Former Name | BETSY VARGHESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T8249) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 266737) |
Enumeration Date | 2009-07-02 |
Last Update Date | 2024-09-17 |