NPI | 1750677332 |
---|---|
Former Name | JENNIFER LYNN ANTHONY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 55653) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2014-01311) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-06-22 |
Last Update Date | 2022-03-16 |