NPI | 1255608733 |
---|---|
Former Name | HEIDI JUNE HEDLUND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN F0811183) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 166446-1) |
Enumeration Date | 2011-11-28 |
Last Update Date | 2020-11-10 |