| NPI | 1164778262 |
|---|---|
| Former Name | BETH ANN HAYSLIP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 140957) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KY 2046569) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |