NPI | 1063855864 |
---|---|
Former Name | KERRIE E. HAYMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201600082NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200340946RN) |
Enumeration Date | 2013-04-10 |
Last Update Date | 2019-05-22 |