| NPI | 1174836084 |
|---|---|
| Former Name | HEATHER DANAE MAI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61165816) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 007340) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A135294) | |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2022-11-15 |