| NPI | 1942595517 |
|---|---|
| Former Name | HEATHER GRACE PARDUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201042698RN) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR 201042698RN) |
| Enumeration Date | 2011-06-12 |
| Last Update Date | 2016-05-31 |