NPI | 1124308192 |
---|---|
Former Name | HEIDI SEXTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 10447699) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209-008948) |
Enumeration Date | 2011-08-23 |
Last Update Date | 2022-08-23 |