| NPI | 1518960939 |
|---|---|
| Former Name | STACY D. GITTLESON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: MD D57009) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0057009) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2023-04-11 |