| NPI | 1053723676 |
|---|---|
| Former Name | ANDREA ROCHE' HAYNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA RN208594) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN208594) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2022-05-02 |