NPI | 1194890145 |
---|---|
Former Name | LINDA MARIE HEIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 243937) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 243937) |
Enumeration Date | 2006-11-22 |
Last Update Date | 2010-02-12 |