| NPI | 1669845715 |
|---|---|
| Former Name | ELIZABETH MARIAN HEINTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 001247192) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1023384) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2022-02-28 |