| NPI | 1942629324 |
|---|---|
| Former Name | REBECCA KAY FANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX Q7122) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q7122) |
| 207R00000X Internal Medicine (Licence: TX BP10050465) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2021-12-30 |