NPI | 1376748418 |
---|---|
Former Name | YVETTE HEFFNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2022046335) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CO 1620006) |
Enumeration Date | 2007-06-19 |
Last Update Date | 2024-08-19 |