| NPI | 1376169599 |
|---|---|
| Former Name | HEATHER NICOLE LE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1002616) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F05200702) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2024-02-06 |