NPI | 1487033650 |
---|---|
Former Name | PEARL DIANA BEKALO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R3719) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10054275) |
Enumeration Date | 2015-05-21 |
Last Update Date | 2024-10-09 |