NPI | 1487016119 |
---|---|
Former Name | CHELSEA LYNN HAYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0097077) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101262992) |
208D00000X General Practice (Licence: VA 0101262992) | |
Enumeration Date | 2016-03-22 |
Last Update Date | 2024-09-18 |