| NPI | 1659855195 |
|---|---|
| Former Name | HEATHER NICHOLE FOSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.023412) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP023412) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-27 |