| NPI | 1679977284 |
|---|---|
| Former Name | HEATHER LYNN HOUSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN0991279-NP) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2017-05-05 |