| NPI | 1386223204 |
|---|---|
| Former Name | SYDNEY ALEXIS OPPELT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 77367) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 8906) |
| 207Q00000X Family Medicine (Licence: MN 33928) | |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2023-10-25 |