| NPI | 1356664338 |
|---|---|
| Former Name | STACY L HEER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14840) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 68736) |
| 363L00000X Nurse Practitioner (Licence: TN 14840) | |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2021-07-16 |