| NPI | 1437454311 |
|---|---|
| Former Name | HEATHER MCGIFFERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 4789) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 4789) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2021-07-14 |