| NPI | 1174014229 |
|---|---|
| Former Name | HEIDI ANNEMAE TUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A159931) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2021-04-26 |