| NPI | 1649478843 |
|---|---|
| Former Name | ELIZABETH ANNE ZIEMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 69041) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036135031) |
| 207Q00000X Family Medicine (Licence: CA 110210) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2022-05-26 |