| NPI | 1235109661 |
|---|---|
| Former Name | AMY NICOLE HAYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101257774) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 24077) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2023-02-28 |