| NPI | 1558362038 |
|---|---|
| Former Name | HEIDI KEVORKIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R52342) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 10330) |
| 163W00000X Registered Nurse (Licence: MN 2515356) | |
| 363L00000X Nurse Practitioner (Licence: AZ 0286276-22) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2024-11-26 |