| NPI | 1902067291 |
|---|---|
| Former Name | HEATHER LYNN GAGAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MN 848) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MN 848) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2021-03-11 |