| NPI | 1225803166 |
|---|---|
| Former Name | HEATHER RAE HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024188742) |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2023-12-04 |