| NPI | 1588865778 |
|---|---|
| Professional Name | ANNIKA SANDRA ILLUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P1086) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.200464) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2022-07-21 |