NPI | 1255814935 |
---|---|
Former Name | HEATHER BEHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-018045) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.018045) |
Enumeration Date | 2018-09-10 |
Last Update Date | 2024-03-04 |