| NPI | 1255736708 |
|---|---|
| Former Name | HEATHER PASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 007374) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL AA647) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2023-10-18 |