| NPI | 1255861878 |
|---|---|
| Former Name | EMILY HEITZMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60749066) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA AP60749066) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA AP60749066) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2024-05-29 |