| 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 |