NPI | 1194242008 |
---|---|
Former Name | HEATHER HUNT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 9306) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2295575) |
Enumeration Date | 2017-08-23 |
Last Update Date | 2022-04-28 |