| NPI | 1770536344 |
|---|---|
| Former Name | HEATHER J VATLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 85002714) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 3430) |
| 363A00000X Physician Assistant (Licence: IL 085002714) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-12-13 |