| NPI | 1720554124 |
|---|---|
| Former Name | HEATHER ROSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.026141) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026141) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2020-10-12 |