NPI | 1033506167 |
---|---|
Former Name | HEATHER HINKLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 6263) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 135580) |
Enumeration Date | 2015-04-15 |
Last Update Date | 2015-04-23 |