NPI | 1245241983 |
---|---|
Former Name | REGINA MICHELLE GANDICA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036111761) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2010-05-14 |