| NPI | 1093196701 |
|---|---|
| Former Name | ELLEN BRIANNA ABELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61066668) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 94-08645) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2022-04-06 |