NPI | 1336557917 |
---|---|
Former Name | HEATHER NOELLE PARKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18936) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 169974) |
Enumeration Date | 2014-07-28 |
Last Update Date | 2021-07-09 |