| NPI | 1346042199 |
|---|---|
| Former Name | MIKALYN HEIDISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0039798) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.463196) |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-11-12 |