NPI | 1306042783 |
---|---|
Former Name | HEIDI FINUCANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 57660) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01074214A) |
Enumeration Date | 2007-06-22 |
Last Update Date | 2023-05-30 |