| 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 |