| NPI | 1811144371 |
|---|---|
| Former Name | HEATHER LEE BEANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0990001) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 253759) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2021-11-29 |