| NPI | 1023669694 |
|---|---|
| Former Name | HEATHER NICOLE CHASE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 3142) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2021-02-04 |