| NPI | 1932125986 |
|---|---|
| Former Name | VITA SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MI 4301069956) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301069956) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI VS069956) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-07-30 |