| NPI | 1275736977 |
|---|---|
| Former Name | CLAUDIA KRISTINE VISSAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2009-02075) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 141146) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2024-08-23 |