| NPI | 1730456179 |
|---|---|
| Former Name | HEIDI GAASCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 22501176) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 5020563) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2024-08-01 |