NPI | 1326468455 |
---|---|
Former Name | GAIL HAYES BEARDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A004038) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR R84749) |
Enumeration Date | 2014-04-16 |
Last Update Date | 2022-08-05 |