| NPI | 1033358379 |
|---|---|
| Former Name | CHRISTEL AMBER HEACKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 23974) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 160550) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2022-09-13 |