NPI | 1851694269 |
---|---|
Former Name | HEATHER MARIE FESSLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9422503) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9422503) |
Enumeration Date | 2010-12-08 |
Last Update Date | 2023-09-20 |