| NPI | 1790122018 |
|---|---|
| Former Name | HEIDI SEDGWICK BELGUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 74375) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60665922) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2021-01-07 |