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 |