| NPI | 1619297348 |
|---|---|
| Former Name | ROBERTA LUCILLE VICKERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N7018) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N7018) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2025-03-06 |