| NPI | 1639433881 |
|---|---|
| Former Name | ANNEKA MARIE HEISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124804) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 123276) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A-123276) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 2678) | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2016-05-31 |