| NPI | 1376071399 | 
|---|---|
| Former Name | HEATHER BAIRD | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127444) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03340) | 
| Enumeration Date | 2017-06-03 | 
| Last Update Date | 2025-02-04 |