| NPI | 1609653773 |
|---|---|
| Former Name | HEATHER SWENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NE 115004) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2024-07-17 |