| NPI | 1164959680 |
|---|---|
| Former Name | CYNTHIA L HEIDENREICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: WI 3710-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 3710-33) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2020-10-14 |