| NPI | 1144672197 |
|---|---|
| Former Name | HEATHER MARIE VANNOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2019024030) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016018721) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2026-09-09 |