NPI | 1215518543 |
---|---|
Former Name | CHRISTIN NICHOLE HEIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP023547) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023547) |
Enumeration Date | 2021-04-19 |
Last Update Date | 2023-06-07 |