| NPI | 1447513734 |
|---|---|
| Former Name | HEIDI JOY EASTEP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.003875) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA TMA052640) |
| 363AM0700X Physician Assistant, Medical (Licence: PA TMA052640) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2020-11-12 |