NPI | 1295861318 |
---|---|
Former Name | MARY JO HALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LA0401X Anesthesiology, Addiction Medicine (Licence: PA MD448935) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD448935) |
Enumeration Date | 2007-02-25 |
Last Update Date | 2025-03-28 |