| NPI | 1255805230 |
|---|---|
| Other Name | HEATHER LYNETTE WATFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11000818) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024195786) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2026-02-06 |