NPI | 1154962793 |
---|---|
Former Name | HALEY ANN HENDRIX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71010224A) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: IN 28200649A) |
Enumeration Date | 2019-10-04 |
Last Update Date | 2023-10-11 |