| NPI | 1013265487 |
|---|---|
| Former Name | HEIDI JO LITTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001003693) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-03693) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2017-06-27 |