| NPI | 1447765797 |
|---|---|
| Former Name | HEATHER ALISON BATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: ND 559-14) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2022-08-17 |