| NPI | 1770759706 |
|---|---|
| Former Name | CHRISTINA LOUISE HECKATHORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 1197) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 58-001449) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2010-06-16 |