NPI | 1568740835 |
---|---|
Former Name | CHRSTINE A HEIMBUCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 24258) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN 264516) |
Enumeration Date | 2011-08-03 |
Last Update Date | 2023-10-31 |