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 |