| NPI | 1790044238 |
|---|---|
| Former Name | BRIDGETTE ANN ROTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2017-01960) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2017-01960) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2021-08-17 |