| NPI | 1407314669 |
|---|---|
| Former Name | ALLISON RENEE HEINRICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95021129) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN272584) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2022-09-30 |