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 | 2024-12-05 |