| NPI | 1912416413 |
|---|---|
| Former Name | HEATHER ANN GRUNDHAUSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: ID 66533) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: ID 66533) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2022-07-21 |