| NPI | 1972563724 |
|---|---|
| Former Name | HEATHER FRANCES BARE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CO 2816) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA OT3048) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2010-01-21 |