| NPI | 1063636215 |
|---|---|
| Former Name | ANGELICA DACHE HAYNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0025978) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D69133) |
| 207R00000X Internal Medicine (Licence: AL 30772) | |
| 207R00000X Internal Medicine (Licence: MS 21336) | |
| 207R00000X Internal Medicine (Licence: AZ 51518) | |
| 208000000X Pediatrics (Licence: DE C1-0025978) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-06-15 |