| NPI | 1235628645 |
|---|---|
| Former Name | LAVENA MARIE HAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71007953A) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2019-05-11 |