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 |