| NPI | 1609852102 |
|---|---|
| Former Name | BETH ALLISON EIKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 39765) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 46384) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2023-05-02 |