| NPI | 1962835991 |
|---|---|
| Former Name | HEIDI MATEO LIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20413) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 779507) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |