| NPI | 1750538823 |
|---|---|
| Former Name | JAMI MARIE EIDEM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P6382) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX P6382) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2024-12-09 |