| NPI | 1023202207 |
|---|---|
| Former Name | HEATHER RENEE SLOCUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA AP05266) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: LA AP05266) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2025-08-13 |