NPI | 1265785885 |
---|---|
Former Name | HAYLEY ABEL PENTZIEN BYINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 202000525NP-PP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 5104-33) |
Enumeration Date | 2012-10-19 |
Last Update Date | 2023-08-14 |