NPI | 1902062730 |
---|---|
Former Name | HEATHER A GATHERCOLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71002197) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28147487) |
Enumeration Date | 2008-07-31 |
Last Update Date | 2020-11-20 |