NPI | 1932581329 |
---|---|
Former Name | CHRISTINA MARIE BRAKKEN-THAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: GA 96245) |
Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: MI 4301504064) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 96245) | |
Enumeration Date | 2015-06-23 |
Last Update Date | 2023-07-13 |