NPI | 1063703262 |
---|---|
Former Name | JANELLE HEIMBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2013-0978) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-04-22 |
Last Update Date | 2014-09-03 |