| NPI | 1760713531 | 
|---|---|
| Former Name | HEATHER TRINETTE TALBOY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 696202)  | 
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 696202)  | 
| Enumeration Date | 2010-01-19 | 
| Last Update Date | 2020-09-21 |