NPI | 1720468267 |
---|---|
Former Name | HEIDI LYNN RICHARDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60862286) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60862286) |
Enumeration Date | 2015-05-30 |
Last Update Date | 2018-07-26 |