| NPI | 1073503066 |
|---|---|
| Former Name | HEATHER CHRISTINE MAHONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP007768) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP007768) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP007767) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2018-06-20 |