NPI | 1578105771 |
---|---|
Former Name | HALEY RENEE DIAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP142623) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP142623) |
Enumeration Date | 2019-10-09 |
Last Update Date | 2023-10-24 |