| NPI | 1093838310 | 
|---|---|
| Former Name | ELIZABETH ANN JABEN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 49743)  | 
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: AZ 45128)  | 
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 49743)  | |
| Enumeration Date | 2007-04-10 | 
| Last Update Date | 2020-08-13 |