| NPI | 1700403235 |
|---|---|
| Former Name | ABIGAIL IWEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 163063) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 2019095768) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-12-22 |