NPI | 1306334420 |
---|---|
Former Name | HALEY HOLWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A167457) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-04-24 |
Last Update Date | 2023-01-17 |