| NPI | 1801384052 |
|---|---|
| Former Name | KRISTEN ELIZABETH HEFFERNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 222Z00000X Orthotist |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |