| NPI | 1952490229 |
|---|---|
| Former Name | HEIDI LYNN SUN VENTLINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 5101025031) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-09-27 |