| NPI | 1790179786 |
|---|---|
| Former Name | MICHELLE KATHRYN BRUGGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: UT 10117267-1205) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2022-05-11 |