NPI | 1346743184 |
---|---|
Former Name | HEATHER MARIE HANKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV DO3127) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 336462) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-16 |
Last Update Date | 2025-09-10 |