NPI | 1033312996 |
---|---|
Former Name | JERILYN KENAGY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2004013306) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 0532787) |
Enumeration Date | 2007-06-07 |
Last Update Date | 2012-10-11 |