| NPI | 1548458672 |
|---|---|
| Former Name | CARRIE A HEINEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KS 05-35121) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CT 045544) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2021-06-02 |