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 |