| NPI | 1952731754 |
|---|---|
| Former Name | HEATHER ANN CHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 085.004864) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 1982) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2021-07-07 |