NPI | 1376868836 |
---|---|
Former Name | PAMELA BLAIR PRIBBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 078418) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 25550) |
207RX0202X Internal Medicine, Medical Oncology (Licence: GA 078418) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-03-28 |
Last Update Date | 2021-11-10 |