| NPI | 1891726980 |
|---|---|
| Former Name | CHERYL LYN HEINTZELMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 001866) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-12-06 |