| NPI | 1245914506 |
|---|---|
| Former Name | MICHELLE CHRISTINE HEINER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61468874) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA RN61091989) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-02-27 |