NPI | 1548749302 |
---|---|
Former Name | HEATHER NICOLE VANHORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP018853) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN652550) |
Enumeration Date | 2018-08-11 |
Last Update Date | 2018-11-09 |