NPI | 1003404195 |
---|---|
Former Name | ALLISON MARIE HEIMBURGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027420) |
Enumeration Date | 2021-01-05 |
Last Update Date | 2023-04-24 |