| NPI | 1316329170 |
|---|---|
| Former Name | SALLY DIERSCHKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R8929) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: TX R8929) |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2026-03-23 |