NPI | 1225686330 |
---|---|
Former Name | HEATHER JEAN HERMUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 9389-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 194220-30) |
Enumeration Date | 2019-09-01 |
Last Update Date | 2021-11-01 |