NPI | 1053401745 |
---|---|
Former Name | ELIZABETH MICHELLE RONISH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD60947927) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101245367) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2020-01-15 |