| NPI | 1013220912 |
|---|---|
| Former Name | HEATHER RENEE SMIELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.11069) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2019-09-11 |