| NPI | 1033524095 |
|---|---|
| Former Name | JAMIE BOEHMKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WY 12618A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS13506) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO3896) | |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2021-06-21 |