NPI | 1346793528 |
---|---|
Former Name | JOAN WEST HALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3010873) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010873) |
Enumeration Date | 2016-07-25 |
Last Update Date | 2024-02-13 |