| NPI | 1043870314 |
|---|---|
| Professional Name | HEATHER NICOLE FULHORST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019724) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041361813) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2024-10-23 |