| NPI | 1093759110 |
|---|---|
| Former Name | HEIDI ANN PENN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: CA A149320) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: PA MD448500) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2022-07-21 |