NPI | 1316431885 |
---|---|
Former Name | RACHEL HEINTZELMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP022108) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN600713) |
363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP022108) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP022108) | |
Enumeration Date | 2018-06-19 |
Last Update Date | 2022-01-17 |