| NPI | 1578855466 |
|---|---|
| Former Name | STACEY M FULTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q2410) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX Q2410) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2023-09-20 |