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 |