| NPI | 1124552674 |
|---|---|
| Former Name | CAROLYN HENKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S4970) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A159273) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2023-02-16 |