NPI | 1356824072 |
---|---|
Former Name | MICHELLE MARGARET HEINZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A132237) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A132237) |
Enumeration Date | 2018-09-09 |
Last Update Date | 2019-10-08 |