| NPI | 1194176479 |
|---|---|
| Former Name | HEATHER LYNN STACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN 240392) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2025-12-04 |