| NPI | 1376037168 |
|---|---|
| Former Name | STEPHANIE HALEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: IL 041343231) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |