| NPI | 1013476738 |
|---|---|
| Former Name | AMY HEAFNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN223165) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN223165) |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2021-03-10 |