| NPI | 1043528532 |
|---|---|
| Former Name | HEATHER N CHIDIAC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA058200) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 002430) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2020-08-30 |