NPI | 1083225239 |
---|---|
Former Name | HAILEY ELIZABETH SLONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA17009) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-08-12 |
Last Update Date | 2023-09-25 |