| NPI | 1235428624 |
|---|---|
| Former Name | HEATHER GAINER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 131251) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2016-06-15 |