| NPI | 1659140770 |
|---|---|
| Former Name | KATIE HEARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL F12230753) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-177070) |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2023-12-29 |