| NPI | 1346494846 |
|---|---|
| Former Name | HEATHER FREMGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 7152049-1205) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2016-05-09 |