| NPI | 1265236830 |
|---|---|
| Former Name | HEATHER LYNNE DAMMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351055429) |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-06-30 |