| NPI | 1952666778 |
|---|---|
| Former Name | HEATHER J BAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 76) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 172153-7) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2020-08-10 |