| NPI | 1073286613 |
|---|---|
| Former Name | HAILEY HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014645) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 5014645) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2022-05-31 |