NPI | 1295016210 |
---|---|
Former Name | RANDI J HAYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA L111223) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA L11223) |
Enumeration Date | 2011-09-03 |
Last Update Date | 2013-09-19 |