| NPI | 1578859393 |
|---|---|
| Former Name | HEATHER HANDLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA158537) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: 1098019) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2021-02-16 |