| NPI | 1972737005 |
|---|---|
| Former Name | HEATHER SUSAN RAVVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35122699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R2057) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 45710) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2021-03-18 |