| NPI | 1912471178 |
|---|---|
| Former Name | HEATHER CAPREE UNDERWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1102158) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 765639) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1102158) | |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2024-08-23 |