| NPI | 1942886585 |
|---|---|
| Former Name | RUTH ESTHER FOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 34883) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 34883) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2024-07-06 |