| NPI | 1386153377 |
|---|---|
| Former Name | JAMESON MAE HEINZMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021761) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3018551) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2024-03-08 |