| NPI | 1346819505 |
|---|---|
| Former Name | HALLIE BAUGHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN10005567) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0024181627) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2024-06-18 |