NPI | 1649258575 |
---|---|
Former Name | CHRISTEN LYNN CAGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0059474) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP 2232) |
Enumeration Date | 2005-12-30 |
Last Update Date | 2023-10-03 |