| 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 | 2021-04-14 |