NPI | 1790161248 |
---|---|
Former Name | HEATHER MASSE HADDOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9200432) |
Additional Taxonomies | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: FL APRN9200432) |
Enumeration Date | 2015-08-07 |
Last Update Date | 2021-03-31 |