NPI | 1073262960 |
---|---|
Former Name | HALEY LEAZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125080293) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-03-20 |
Last Update Date | 2025-09-30 |