| NPI | 1700420916 |
|---|---|
| Former Name | HEATHER A BUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2020032337) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-70739-052) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-79222-052) | |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2024-03-27 |