NPI | 1710193982 |
---|---|
Former Name | TIFFANY ANNE PEREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD440953) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD440953) |
207R00000X Internal Medicine (Licence: PA MT182213) | |
Enumeration Date | 2007-05-15 |
Last Update Date | 2015-09-14 |