NPI | 1700550480 |
---|---|
Former Name | JAMIE LAUREN HEET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 32697921) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
Enumeration Date | 2021-08-05 |
Last Update Date | 2023-02-02 |