| NPI | 1255593851 |
|---|---|
| Former Name | HEATHER LYNN VAN SWERINGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CO DR.0058328) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO DR.0058328) |
| 2086X0206X Surgery, Surgical Oncology (Licence: WY 11084A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2018-03-17 |