| NPI | 1598251308 |
|---|---|
| Former Name | HEATHER HORGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12742) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 4895) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2018-07-04 |
| Last Update Date | 2024-05-03 |