NPI | 1073551164 |
---|---|
Former Name | LAURA M HEFFLINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP2493) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN124657) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2023-03-07 |