| NPI | 1760692917 |
|---|---|
| Former Name | CHRISTINA MARIE DEVILLIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 20660) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 20660) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2019-11-26 |