NPI | 1265025803 |
---|---|
Former Name | CYNTHIA ANN HEINTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5018581) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5018581) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-02-15 |
Last Update Date | 2023-08-25 |