| NPI | 1477988780 |
|---|---|
| Former Name | HEATHER LYNN PRAH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA056332) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2025-02-11 |