| NPI | 1114559952 |
|---|---|
| Former Name | HALEY M BIANCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 7637-23) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601010253) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2024-01-09 |