NPI | 1013411206 |
---|---|
Former Name | ANNE TJADEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036159955) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.072976) |
208M00000X Hospitalist (Licence: IL 036159955) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-21 |
Last Update Date | 2023-02-27 |