NPI | 1821491820 |
---|---|
Former Name | HEATHER CHRISTINE FREEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004711A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601007147) |
Enumeration Date | 2014-10-03 |
Last Update Date | 2025-02-10 |