| NPI | 1962762682 |
|---|---|
| Former Name | KOURTNEY TRIBBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-14522) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 29206) |
| 207R00000X Internal Medicine (Licence: AZ 51907) | |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2022-10-18 |