| NPI | 1588697890 |
|---|---|
| Former Name | HEATHER NIZHONII KINSEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.143743) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60270481) |
| 207Q00000X Family Medicine (Licence: NM MD2009-0495) | |
| 207Q00000X Family Medicine (Licence: ID MR-0873) | |
| 207Q00000X Family Medicine (Licence: TX R1064) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2022-03-04 |