| NPI | 1831964741 |
|---|---|
| Former Name | HEATHER SUE MONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0035432) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-05-24 |