NPI | 1770199150 |
---|---|
Former Name | HEATHER LEE GUAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 071544-23) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 071544-21) |
163WD0400X Registered Nurse, Diabetes Educator (Licence: NH 748648) | |
Enumeration Date | 2020-09-21 |
Last Update Date | 2024-01-10 |