| NPI | 1154767176 |
|---|---|
| Former Name | HEATHER J. BOWERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 49491) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY TP357) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2017-04-18 |