| NPI | 1982201273 |
|---|---|
| Former Name | HEATHER MARIE JENSCHKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009148) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11009148) |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2021-03-23 |