NPI | 1164160107 |
---|---|
Former Name | HALEY ANN BOOKBINDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 028350) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-05-20 |
Last Update Date | 2024-10-01 |