| NPI | 1457981078 |
|---|---|
| Former Name | HEATHER STOTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP021360) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA SP021360) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2021-08-06 |