| NPI | 1245123421 |
|---|---|
| Former Name | HEIDI RENEE HORNSBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |