| NPI | 1942746201 |
|---|---|
| Former Name | HEATHER NICOLE BACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.17985) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH APRN.CNP.17985) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2018-10-15 |