NPI | 1992904387 |
---|---|
Former Name | MONIQUE ANTOINETTE HARTLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MA 290230) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL TRN11281) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 239657) | |
207RX0202X Internal Medicine, Medical Oncology (Licence: MA 290230) | |
Enumeration Date | 2007-07-16 |
Last Update Date | 2023-09-19 |