| NPI | 1003268392 |
|---|---|
| Former Name | DOLLY DIDN'T HAVE LAST NAME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 53868) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267816) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 101707) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2020-07-08 |