NPI | 1750739868 |
---|---|
Former Name | JENNIFER LEAH MIKSANEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IA MD-45989) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-10533) |
207R00000X Internal Medicine (Licence: IA MD-45989) | |
Enumeration Date | 2016-05-31 |
Last Update Date | 2022-09-28 |