| NPI | 1235576661 |
|---|---|
| Former Name | CHELSEA RENAE HEPPNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 14192) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 58250) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2021-11-15 |