| NPI | 1275077398 |
|---|---|
| Former Name | HEATHER DANIELLE STANFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-121972) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 1-121972) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2022-08-10 |