| NPI | 1215503875 |
|---|---|
| Former Name | HAYLEY JANE HANSFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2021047799) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2023-08-03 |