| NPI | 1275696825 |
|---|---|
| Former Name | HEATHER ANN MCKAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3019) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 3019033) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2016-02-26 |