| NPI | 1639168925 |
|---|---|
| Former Name | HEATHER CHEGWIDDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 46545) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01060780A) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2017-04-05 |