NPI | 1265671408 |
---|---|
Other Name | HEIDI L SORRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 43344) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY R1593) |
Enumeration Date | 2009-02-11 |
Last Update Date | 2020-04-17 |