NPI | 1932125986 |
---|---|
Former Name | VITA SULLIVAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301069956) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI VS069956) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2023-09-27 |