| NPI | 1669637682 |
|---|---|
| Former Name | CHRISTY FAGG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102203117) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116020704) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2021-01-21 |