| 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 |