| NPI | 1285518266 |
|---|---|
| Former Name | HALEY RISINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2026-08-25 |