| NPI | 1093370918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ALEXANDER Credentialing Specialist 916-233-8607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology |
| 207RX0202X Internal Medicine, Medical Oncology | |
| 2085R0001X Radiology, Radiation Oncology | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2024-05-30 |