| NPI | 1326588260 |
|---|---|
| Former Name | AMANDA HEGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020776) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174599) |
| Enumeration Date | 2017-02-26 |
| Last Update Date | 2024-04-26 |