| NPI | 1528375672 |
|---|---|
| Former Name | HEATHER LEIGH TETER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3006631) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 6631P) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2020-12-10 |