| NPI | 1710384300 |
|---|---|
| Former Name | HEATHER A CONSTANTINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60528078) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60452201) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2015-12-22 |