| NPI | 1932548658 |
|---|---|
| Former Name | HEATHER J MCDANIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ME PA1404) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 59576) |
| Enumeration Date | 2013-06-15 |
| Last Update Date | 2023-10-13 |