NPI | 1407292212 |
---|---|
Former Name | HEATHER A LUCHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128245) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 17512) |
Enumeration Date | 2013-05-20 |
Last Update Date | 2018-07-31 |