| NPI | 1700240512 |
|---|---|
| Former Name | HEATHER ELIZABETH WASHBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 9801) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12012555A) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2022-08-04 |