| NPI | 1124769369 |
|---|---|
| Former Name | HALEY IVAH KERN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704321316) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704321316) |
| Enumeration Date | 2022-04-03 |
| Last Update Date | 2022-08-23 |