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 |