| NPI | 1457825580 |
|---|---|
| Former Name | HEATHER CULP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN 3780) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 3780) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2021-03-17 |