| NPI | 1487987616 |
|---|---|
| Former Name | HEATHER N NEWSWANGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2259) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 086241) |
| 363A00000X Physician Assistant (Licence: MD C0004018) | |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2023-02-01 |