NPI | 1003313818 |
---|---|
Former Name | SARAH MARY HALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX V3310) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 202101212) |
Enumeration Date | 2018-04-09 |
Last Update Date | 2024-10-16 |