| NPI | 1528220159 |
|---|---|
| Former Name | HEATHER C.A. TINDALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60535689) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 254167) |
| 207Q00000X Family Medicine (Licence: CA A116217) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2016-09-02 |