| NPI | 1871078808 |
|---|---|
| Former Name | HEATHER ELIZABETH LYLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60903132) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60475412) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-11-26 |