NPI | 1407578537 |
---|---|
Former Name | HEATHER SUSAN HORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95023102) |
Enumeration Date | 2022-09-15 |
Last Update Date | 2024-09-23 |