NPI | 1366183253 |
---|---|
Former Name | HALEY MICHELLE HOEGENAUER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN263883) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN737263) |
163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: PA RN737263) | |
Enumeration Date | 2022-04-05 |
Last Update Date | 2023-11-13 |