| NPI | 1598124646 |
|---|---|
| Former Name | JANE RUTH-ELLEN EYBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.013649) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2019-09-05 |