| NPI | 1770945180 |
|---|---|
| Former Name | HALLEY CHRISTINE SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.147177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068961) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2022-05-25 |