NPI | 1679922264 |
---|---|
Former Name | MCKENZIE VORHIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP60809385) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-06-06 |
Last Update Date | 2019-04-23 |