| NPI | 1013910264 |
|---|---|
| Former Name | CYNTHIA M HOUDESHELDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 14390) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ AZ 19008) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2014-11-10 |