| NPI | 1457932659 |
|---|---|
| Former Name | HAILEY KATHLEEN CHRISTIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000029302) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN AG02210133) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2021-04-19 |