NPI | 1871255885 |
---|---|
Former Name | HEATHER LYN CHEESEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201243230RN) |
Enumeration Date | 2021-10-07 |
Last Update Date | 2021-10-07 |