| NPI | 1336293976 |
|---|---|
| Former Name | HEATHER LYNN BRUCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: LA 302254) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2016-11-30 |