NPI | 1174258586 |
---|---|
Other Name | CINDY SWANHOLM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 74906) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-07-19 |
Last Update Date | 2024-11-04 |