Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | D0033887 | MD |
NPI | 1124185236 |
---|---|
Provider Name | Dr. Michele Kim Evans |
First Address | Baltimore, MD 21224-6825 |
Second Address | Baltimore, MD 21224-6825 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 08/07/2007 |