| NPI | 1336767714 |
|---|---|
| Former Name | CHRISTY MARIE VANDER GRIENDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ R78111) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R78111) |
| Enumeration Date | 2020-07-11 |
| Last Update Date | 2023-06-16 |