NPI | 1609899624 |
---|---|
Former Name | DBEORAH JEAN MATTOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 3370) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 3370) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2014-05-01 |