| NPI | 1912483603 |
|---|---|
| Former Name | HEATHER RIORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 343008) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343008) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2021-05-21 |