NPI | 1770877466 |
---|---|
Former Name | DIANNA LYNN SECREST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-41558) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-9115) |
208M00000X Hospitalist (Licence: IA MD-41558) | |
Enumeration Date | 2011-05-31 |
Last Update Date | 2025-09-02 |