| NPI | 1376071399 |
|---|---|
| Former Name | HEATHER BAIRD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03340) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127444) |
| Enumeration Date | 2017-06-03 |
| Last Update Date | 2018-12-06 |