NPI | 1235464652 |
---|---|
Former Name | HEATHER NICOLE SAUNDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA2000322) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 200322l) |
Enumeration Date | 2009-10-04 |
Last Update Date | 2021-05-18 |