| NPI | 1063223907 |
|---|---|
| Former Name | HALEY FAIRCHILD STOUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CO RN.0160525) |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-01-20 |