NPI | 1578590097 |
---|---|
Other Name | JOAN ELAINE HAYNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C51704) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 65038) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2018-12-03 |