NPI | 1457958944 |
---|---|
Former Name | HAYLEY KRISTINE ATKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 4278) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208800000X Urology (Licence: SC 4278) | |
Enumeration Date | 2020-10-07 |
Last Update Date | 2023-08-02 |