NPI | 1932478229 |
---|---|
Former Name | HEATHER MICHELLE SCHULZE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA07423) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 979151) |
Enumeration Date | 2011-12-15 |
Last Update Date | 2021-03-19 |