NPI | 1992142848 |
---|---|
Former Name | CHRISTINE MARIANA DESTEPHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 86341) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 98659) |
Enumeration Date | 2013-06-02 |
Last Update Date | 2024-07-30 |