| NPI | 1346313483 |
|---|---|
| Former Name | LYNN M HEISEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 1056) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2022-11-07 |