| NPI | 1023428174 |
|---|---|
| Former Name | HEATHER LOUISE ENGELKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO2798) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102204447) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2023-06-02 |