| NPI | 1821482795 |
|---|---|
| Former Name | HEATHER R RISNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 9202-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 9202-33) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2020-03-09 |