NPI | 1487283156 |
---|---|
Former Name | KELSEY PAIGE HAYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-167989) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AL 1-167989) |
Enumeration Date | 2020-04-05 |
Last Update Date | 2024-02-01 |