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 |