| NPI | 1821491820 |
|---|---|
| Former Name | HEATHER 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 | 2025-04-02 |