NPI | 1225504376 |
---|---|
Former Name | HEATHER DAWN MEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK R0092245) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 92245) |
Enumeration Date | 2018-10-16 |
Last Update Date | 2023-05-25 |