| NPI | 1952499485 |
|---|---|
| Former Name | HEATHER CHRISTINE WISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374J00000X Doula |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 5512) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-11-21 |