| NPI | 1154769115 |
|---|---|
| Former Name | BRIETTA KATHLEEN DIEDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 0437831) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2024-08-08 |