| NPI | 1760740716 |
|---|---|
| Former Name | HEATHER NICOE CAPPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 2830) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2015-06-17 |