| NPI | 1821703307 |
|---|---|
| Former Name | HEATHER MARIE BECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G172624) |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-06-01 |