| NPI | 1912406406 |
|---|---|
| Former Name | HEATHER ANNETTE BRECKENRIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A005506) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-07-25 |