NPI | 1710305016 |
---|---|
Former Name | HEATHER LOUISE OWENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22622) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: SC 211915) |
Enumeration Date | 2014-04-03 |
Last Update Date | 2019-02-14 |