| NPI | 1992518823 |
|---|---|
| Former Name | HEATHER BREANN HASTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4034545) |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |