| NPI | 1124734819 |
|---|---|
| Former Name | HALEY ELIZABETH FUSTING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3018826) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3018826) |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-25 |