| NPI | 1992052336 |
|---|---|
| Former Name | HEATHER RAE RICHARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 8372563-1206) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: UT 8372563-1206) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2023-05-02 |