| NPI | 1902960990 |
|---|---|
| Former Name | KARE ANN HENRIKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 32015) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A061158) |
| 207Q00000X Family Medicine (Licence: MO 2006020977) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2019-08-20 |