| NPI | 1689195414 |
|---|---|
| Former Name | HEIDI LYNN THRAMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA184479) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: 2000001491) |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2024-01-11 |