NPI | 1043678113 |
---|---|
Former Name | HAILEY BEEBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 5377146111) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2016001659) |
Enumeration Date | 2016-02-04 |
Last Update Date | 2017-04-04 |